My drug
information rotation was very different from my last three rotations as it was
mainly project based. Rather than directly impacting patients with
recommendations or interventions I made on rounds, I was able to impact the
hospital as a whole while working on different projects.
One of the major projects I worked
on was creating a SGLT2 inhibitor class monograph, in order to assess whether
one agent should be added to formulary. This involved reviewing package
inserts, databases, and primary literature for each SGLT2 inhibitor and then
synthesizing the information into one document. The committee members will then
review the monograph prior to meeting and make a decision about adding SGLT2
inhibitors to formulary—an addition that impacts the entire hospital and not
just one patient.
Other projects I worked on included
analysis of ethanol (beer) use in hospitalized patients over the last year,
determining the efficacy of a “magic” mouthwash, running experiments with a
suspected faulty device, and reporting a device related adverse event to the
FDA MedWatch System and the hospital’s internal reporting system. I was also
able to attend the P&T committee’s and other subcommittees’ meetings and witness
the process of revising and approving policies firsthand. I presented a topic
discussion on literature evaluation and also a journal club on dapagliflozin’s
efficacy and safety in heart failure patients.
The best
part of this drug information rotation was being exposed to so many different
aspects of the hospital and working on unique projects. It’s very different having
project based work and making recommendations on things that will impact the
entire health system. I’m really grateful for the opportunity to explore drug
information and I’m looking forward to being exposed to more new things in my
future rotations.
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